Academic- 3Ps Assessment- Pathophysiology,
Pharmacology, and Physica Assessment
1. Sarcomere stretch beyond 2.2 microns is the physiologic mechanism
behind which condition?: CHF
2. A female patient is taking amlodipine 10 mg daily, which controlled her
blood pressure, but she could not tolerate the side effects. She was switched
to losartan 100 mg daily, but her blood pressure never achieved goal. Which
statement best characterizes the clinical comparison of these two
medications?: Amlodipine is more efficacious than losartan
3. During a routine health assessment, the NP appreciates a decrease in
peripheral vision bilaterally while performing visual field assessment by
confrontation. Consequently, the NP anticipates which of the following
findings during fundoscopic assessment?: A cup-to-disk ratio of 70%.
4. A 66-year-old woman presents with a complaint of a 4-day history of a
unilateral headache that will not go away despite taking ibuprofen and
acetaminophen. She has a history of hypertension that is usually well
controlled with an ACE inhibitor, but today her blood pressure is 162/92 mm
Hg. During the HPI she admits that she has had some transient visual loss over
the few days, but it has been very short lived and resolves completely. The
next step in the evaluation of this patient should include:: An erythrocyte
sedimentation rate
5. Which information best describes the pathophysiology of most mental
health disorders?: Dysregulation of neurotransmitters in relevant pathways
, Academic- 3Ps Assessment- Pathophysiology,
Pharmacology, and Physica Assessment
6. The commonality among all seizure etiologies is:: Increased neuron
excitability
7. The NP is managing a patient newly diagnosed with essential tremor
disorder and prescribed propranolol. The patient did an internet search for
the medication and wants to know how a "heart medication" can make her
stop having hand tremors. What is the best explanation for this patient?:
Propranolol blocks the action of the sympathetic nervous system in all body systems and
so it will calm many things, including the tremors
8. A 48-year-old man presents with a complaint of a 3-week history of
intermittent shooting pain that runs down the buttocks and left leg.
Suspecting sciatica, the NP would expect which of the following during
physical examination?: Pain with straight leg raise
9. During the routine wellness examination of a 12-year-old male patient,
the NP appreciates a grade II/VI systolic murmur at the apex while the patient
is lying on the exam table. The murmur is louder when the patient moves to
the sitting position, appreciated at grade IV/VI. The cardiac history and review
of symptoms is negative. The appropriate approach to this patient is to:: Order
an echocardiogram
10. A 57-year-old woman presents with a 3-day history of fever, dyspnea, and
a purulent cough. Auscultation of the lungs identifies an area of egophony in
the lower left lobe. Palpation reveals increased tactile fremitus. The NP
expects which of the following percussion findings?: Dullness
Pharmacology, and Physica Assessment
1. Sarcomere stretch beyond 2.2 microns is the physiologic mechanism
behind which condition?: CHF
2. A female patient is taking amlodipine 10 mg daily, which controlled her
blood pressure, but she could not tolerate the side effects. She was switched
to losartan 100 mg daily, but her blood pressure never achieved goal. Which
statement best characterizes the clinical comparison of these two
medications?: Amlodipine is more efficacious than losartan
3. During a routine health assessment, the NP appreciates a decrease in
peripheral vision bilaterally while performing visual field assessment by
confrontation. Consequently, the NP anticipates which of the following
findings during fundoscopic assessment?: A cup-to-disk ratio of 70%.
4. A 66-year-old woman presents with a complaint of a 4-day history of a
unilateral headache that will not go away despite taking ibuprofen and
acetaminophen. She has a history of hypertension that is usually well
controlled with an ACE inhibitor, but today her blood pressure is 162/92 mm
Hg. During the HPI she admits that she has had some transient visual loss over
the few days, but it has been very short lived and resolves completely. The
next step in the evaluation of this patient should include:: An erythrocyte
sedimentation rate
5. Which information best describes the pathophysiology of most mental
health disorders?: Dysregulation of neurotransmitters in relevant pathways
, Academic- 3Ps Assessment- Pathophysiology,
Pharmacology, and Physica Assessment
6. The commonality among all seizure etiologies is:: Increased neuron
excitability
7. The NP is managing a patient newly diagnosed with essential tremor
disorder and prescribed propranolol. The patient did an internet search for
the medication and wants to know how a "heart medication" can make her
stop having hand tremors. What is the best explanation for this patient?:
Propranolol blocks the action of the sympathetic nervous system in all body systems and
so it will calm many things, including the tremors
8. A 48-year-old man presents with a complaint of a 3-week history of
intermittent shooting pain that runs down the buttocks and left leg.
Suspecting sciatica, the NP would expect which of the following during
physical examination?: Pain with straight leg raise
9. During the routine wellness examination of a 12-year-old male patient,
the NP appreciates a grade II/VI systolic murmur at the apex while the patient
is lying on the exam table. The murmur is louder when the patient moves to
the sitting position, appreciated at grade IV/VI. The cardiac history and review
of symptoms is negative. The appropriate approach to this patient is to:: Order
an echocardiogram
10. A 57-year-old woman presents with a 3-day history of fever, dyspnea, and
a purulent cough. Auscultation of the lungs identifies an area of egophony in
the lower left lobe. Palpation reveals increased tactile fremitus. The NP
expects which of the following percussion findings?: Dullness
